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Individual

DR. HEIDI J MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
Mailing address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD2016-0579
NM
208600000X
Surgery Physician
Primary
MD23890
ME

Other

Enumeration date
07/06/2010
Last updated
09/03/2020
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